Nordstrom, Scott Douglas
Nordstrom, Scott Douglas is an sole proprietor health care provider with primary practice located at 555 Hospital Ln , Susanville CA 96130-4918. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nordstrom, Scott Douglas can be contacted via phone (530) 251-8199.Contact Information
Primary practice address
555 Hospital Ln
Susanville CA 96130-4918
Phone: (530) 251-8199
Fax: (530) 251-2662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 14899 | California |
Profile Details
| NPI number | 1154534147 |
|---|---|
| LBN Legal business name | Nordstrom, Scott Douglas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jun 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154534147 | NPPES |
| California | MEDICAID | 1801 |
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